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Montana rates for HCPCS L8485

Prosthetic sock, single ply, fitting, upper limb, each

Facilitymedian $15 · 10th–90th $10–$190%20%10th90th$15Professionalmedian $11 · 10th–90th $5–$200%10%10th90th$11$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $10.00 / $14.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $16.98 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $16.98 / $16.98
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $15.49 / $30.20
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $15.49 / $30.20
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $14.79 / $19.05
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.98 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $10.00 / $10.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.61 / $10.23